What is diltiazem 2 cream used for?
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What is diltiazem 2 cream used for?
Diltiazem hydrochloride cream is used to promote healing and reduce the pain of the small cut or tear that has occurred in the skin inside your anus – also known as an ‘anal fissure’.
How long can you use diltiazem cream?
Based on the studies, diltiazem cream or ointment does not appear to cause significant harm or side effects in adults using it in the short term. Most studies looked at use for around 3 months or less. It is not known what possible harms or side effects the treatment may cause if it is used for longer than this.
Is diltiazem cream a prescription?
About diltiazem Diltiazem is also used to prevent chest pain caused by angina as well as Raynaud’s phenomenon. It can also be used to help heal an anal fissure. It’s available on prescription only and comes as tablets, capsules, cream or ointment.
Is diltiazem cream over the counter?
There no commercially manufactured formulation of topical 2% diltiazem has been approved yet by the Food and Drug Administration for the treatment of anal fissure, prescriptions for the medication need to be compounded with a prescription from a doctor.
Does diltiazem heal fissure?
Applications. The results suggest that successful treatment of chronic anal fissure with topical diltiazem leads to improvement in health-related quality of life.
Can diltiazem cure fissure?
Conclusion: This study shows that topical 2% diltiazem is an effective and safe treatment for chronic anal fissure in patients who have failed topical 0.2% GTN. The need for sphincterotomy can be avoided in up to 70% of cases.
How long does diltiazem take to heal fissure?
Results: In 39 patients (13 males; median age, 42 (range, 20- 80) years), topical 2 percent diltiazem gel lowered anal resting pressure by 20 percent from a median of 93 to 74 cm H2O (P < 0.0001, Wilcoxon), and fissures healed in 19 (49 percent) within 8 weeks.
How effective is diltiazem cream?
Where do you apply diltiazem ointment?
Diltiazem hydrochloride 2% cream works by relaxing the muscle around the anus (the anal sphincter), thereby reducing the anal pressure and increasing the blood flow to the area to allow healing to occur. Apply a small amount to your finger (approximately 2.5cm) and place the cream just inside the anus, at the entrance.
When do you apply diltiazem cream?
Use the cream twice a day every day (morning and evening) for 2 months. Wash hands after use and dispose of finger covering appropriately. It is important that you use this cream every day and complete the full course to offer the best chance of successful healing.
Does itching mean fissure is healing?
It may be noticed when cleaning the rectal area. Itching: Discharge may result as the fissure alternately heals and reopens, causing itching.
How do you permanently cure a chronic fissure?
Doctors usually perform a procedure called lateral internal sphincterotomy (LIS), which involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing. Studies have found that for chronic fissure, surgery is much more effective than any medical treatment.
How can I speed up the healing of a fissure?
If your symptoms do not improve within a week or 2, the GP may prescribe a medicine called glyceryl trinitrate (GTN), an ointment applied to the anal canal, usually twice a day. GTN works by expanding blood vessels in and around the anus, increasing the blood supply to the fissure and helping it heal faster.
What is the best cream for fissures?
What is the best medication for an anal fissure?
| Best medications for anal fissure | ||
|---|---|---|
| Aspercreme Lidocaine (lidocaine cream) | Anesthetic | Topical |
| Rectiv (nitroglycerin cream) | Vasodilator | Topical |
| Nifedipine cream | Antihypertensive | Topical |
| Botox (botulinum toxin A) | Neurotoxin | Injection |
What happens if a fissure won’t heal?
If your anal fissure is particularly severe or does not respond to treatment after 8 weeks, you may have to be referred to a colorectal surgeon, a doctor who specialises in conditions that affect the rectum and anus. This usually involves having some type of surgery.
Do chronic fissures ever heal?
Chronic fissures typically have a cyclical history of intermittent healing and recurrence, but about 35% will eventually heal, at least temporarily, without intervention.
What is the fastest way to heal a chronic fissure?
Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.
